Active NPI
Hamelmal Berhanu Assefa
- Driver
- Dallas, TX
National Provider Identifier
1023858370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 1800 Barnes Bridge Rd
Dallas, TX 75228-2123 - Phone
- (214) 580-6184
- NPI assigned
- May 24, 2024
- Last updated
- May 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 43461293 | TX | |
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
1800 Barnes Bridge Rd
Dallas, TX 75228-2123
Mailing address
1621 S Jupiter Rd
Garland, TX 75042-7792
Phone (469) 867-4279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43461293 | TX | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1023858370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 S JUPITER RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427792",
"telephone_number": "469-867-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BARNES BRIDGE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752282123",
"telephone_number": "214-580-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSEFA",
"first_name": "HAMELMAL",
"middle_name": "BERHANU",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TX",
"license": "43461293",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Mohammed Ashfaq H. Assadi, M.D.
- Reza Assadollahi, D.C., N,P.
- Joanna Nicole Assadourian
- Frances L Assaf, D.C.
- Manish D Assar, M.D.
- Assisted Living at Silver Gardens, LLC
- Associated Chiropractic Professionals, P.a. (Woodward Chiropractic)
- Associated Chiropractic Professionals, P.a. (Woodward Chiropractic & Massage)
- Associated Rehabilitation Services, Inc. (Affiliated Rehabilitation Services)
- Associates in Neonatology PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.